AD HOC HEALTHCARE COMMITTEE MEANS OF EGRESS WORK GROUP APPROVED CODE CHANGE DRAFTS CODE GROUP B MOE COMMITTEE
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1 AD HOC HEALTHCARE COMMITTEE MEANS OF EGRESS WORK GROUP APPROVED CODE CHANGE DRAFTS CODE GROUP B MOE COMMITTEE This report includes 6 code change proposals from the Adhoc Health Care, Means of Egress committee developed for Group B changes. Other proposals are currently wrapped into the proposal for new Section 1105 that appears in the General Committee report. Code Section Comments IFC Electrical system maintenance IFC/IBC IFC (IBC [F] 407.8, ) Coordinate language for automatic fire detection IFC Security devices and egress locks coordination with lock changes to Group A IFC Maintain clear width of aisle, corridors and ramps IFC Door size will be incorporated into new Section 1105 proposal IEBC Level II or Level III alteration requires check for refuge area
2 605_12 - F321 -Williams.docx (new), (new) Proponent: John Williams, CBO, Chair, ICC Ad Hoc Committee on Health Care Add new text as follows: IFC Electrical systems maintenance. Electrical components, equipment and systems shall be maintained in compliance with the provisions of NFPA 70. IFC Group I-2 maintenance. Group I-2 electrical components, equipment systems shall also be maintained in accordance with the provisions of NFPA 99. Reason: Existing electrical systems are required to comply with NFPA 70 by the Center for Medicare/Medicaid Services (CMS) in order for a facility to receive federal reimbursement funds. Providing the code language for Group I-2 occupancies will ensure the required electrical systems are maintained per NFPA 70. All meeting materials and reports are posted on the AHC website at:
3 907_2_6_2 -F312A -Williams.docx IFC (IBC [F] 407.8, ) Proponent: John Williams, CBO, Chair, ICC Ad Hoc Committee on Health Care Revise as follows: IBC [F] Automatic fire detection. An automatic smoke detection system shall be installed in corridors in nursing homes, long-term care facilities, detoxification facilities and spaces permitted to be open to the corridors by Section shall be equipped with an automatic fire detection system. The system shall be activated in accordance with Section Hospitals shall be equipped with an automatic smoke detection system as required in Section and Exceptions: 1. Corridor smoke detection is not required where sleeping rooms in smoke compartments that contain sleeping units where such units are provided with smoke detectors that comply with UL 268. Such detectors shall provide a visual display on the corridor side of each sleeping room and unit and shall provide an audible and visual alarm at the care provider s station attending each unit. 2. Corridor smoke detection is not required where sleeping room in smoke compartments that contain sleeping units where sleeping unit doors are equipped with automatic door-closing devices with integral smoke detectors on the unit sides installed in accordance with their listing, provided that the integral detectors perform the required alerting function (IBC [F] ) Group I-2. An automatic smoke detection system shall be installed in corridors in nursing homes, long term care facilities, detoxification facilities and spaces permitted to be open to the corridors by Section The system shall be activated in accordance with Section Hospitals shall be equipped with an automatic smoke detection system as required in Section 407. Exceptions: 1. Corridor smoke detection is not required in smoke compartments that contain sleeping units where such units are provided with smoke detectors that comply with UL 268. Such detectors shall provide a visual display on the corridor side of each sleeping unit and shall provide an audible and visual alarm at the care provider s station attending each unit. 2. Corridor smoke detection is not required in smoke compartments that contain sleeping units where sleeping unit doors are equipped with automatic doorclosing devices with integral smoke detectors on the unit sides installed in accordance with their listing, provided that the integral detectors perform the required alerting function. Reason: The proposed language in IBC and IBC/IFC coordinates with the proposed language automatic smoke detection system requirements in IBC submitted by the Adhoc Health Care committee during Group A hearings. The intent is also to make the language consistent between the two sections.
4 907_2_6_2 -F312A -Williams.docx All meeting materials and reports are posted on the AHC website at:
5 1030_2_1 F308B-Williams.docx IFC Proponent: John Williams, CBO, Chair, ICC Ad Hoc Committee on Health Care and Carl Baldassarra, P.E., FSFPE, Chair, ICC Code Technology Committee Revise as follows: IFC Security devices and egress locks. Security devices and locks affecting means of egress shall be subject to approval of the fire code official. Special locking arrangements including, but not limited to access controlled egress doors, security grills, mechanical locks and latches and all electronic locks and systems that restrict, control or delay egress shall be installed and maintained as required by this chapter. Reason: The Adhoc Health Care committee and ICC Code Technologies Committee co-sponsored code changes to update terminology for several of the different locking systems address in the IBC. This change in terminology would make the maintenance provisions in the IFC consistent with the terminology changes. All meeting materials and reports are posted on the AHC website at: Insert standard CTC paragraph
6 1030_3_1 F304 -Williams.docx IFC (new) Proponent: John Williams, CBO, Chair, ICC Ad Hoc Committee on Health Care and Carl Baldassarra, P.E., FSFPE, Chair, ICC Code Technology Committee Add new text as follows: IFC Group I-2. In Group I-2, the required clear width for aisles, corridors and ramps that are part of the required means of egress shall comply with Section The facility shall have a plan to maintain the required clear width during emergency situations. Exception: In areas required for bed movement, equipment shall be permitted in the required width where all the following provisions are met: 1. The equipment is low hazard and wheeled. 2. The equipment does not reduce the effective clear width for the means of egress to less than 5 feet (1525 mm). 3. The equipment is limited to: 3.1. Equipment and carts in use; 3.2. Medical emergency equipment; 3.3. Infection control carts; and 3.4. Patient lift and transportation equipment. 4. Medical emergency equipment and patient lift and transportation equipment, when not in use, is required to be located on one side of the corridor. 5. The equipment is limited in number to a maximum of one per patient sleeping room or patient care room within each smoke compartment. Reason: The new language in Section is to be placed in the International Fire Code as a procedural requirement. It is recognized that the 8-0 wide corridor in an institutional occupancy where beds are moved is to remain at 8-0 in width. The language recognizes and identifies the fact that certain movable pieces of equipment will be present in the corridor during normal operations of the patient care units and seeks to restrict the types and number of such pieces of equipment and the restrictions the equipment may impose on the means of egress. The language also recognizes that during emergencies facilities must have an emergency management plan that address the steps that must be taken by the facility and responding staff to ensure that the required 8-0 wide corridor is kept clear of movable obstructions. The terminology is consistent with NFPA 101. Board of Directors to evaluate and assess contemporary code issues relating to hospitals and ambulatory healthcare facilities. The AHC is composed of building code officials, fire code officials, hospital facility engineers, and state healthcare enforcement representatives. The goals of the committee are to ensure that the ICC family of codes appropriately addresses the fire and life safety concerns of a highly specialized and rapidly evolving healthcare delivery system. This process is part of a joint effort between ICC and the American Society for Healthcare Engineering (ASHE), a subsidiary of the American Hospital Association, to eliminate duplication and conflicts in healthcare regulation. Since its inception in April, 2011, the AHC has held 5 open meetings and over 80 workgroup calls which included members of the AHC as well as any interested party to discuss and debate the proposed changes. All meeting materials and reports are posted on the AHC website at: Insert standard CTC paragraph
7 1104_7-F313 -Williams.docx Proponent: John Williams, CBO, Chair, ICC Ad Hoc Committee on Health Care Revise as follows: IFC Size of doors. The minimum width of each door opening shall be sufficient for the occupant load thereof and shall provide a clear width of not less than 28 inches (711 mm). Where this section requires a minimum clear width of 28 inches (711 mm) and a door opening includes two door leaves without a mullion, one leaf shall provide a clear opening width of 28 inches (711 mm). The maximum width of a swinging door leaf shall be 48 inches (1219 mm) nominal. In Group I-2 and Ambulatory care facilities, doors serving as means of egress from patient treatment rooms or patient sleeping rooms shall provide a clear width of not less than 32 inches (813 mm). Means of egress doors in an occupancy In Group I-2, doors serving as means of egress and used for the movement of beds shall provide a clear width not less than 41.5 inches (1054 mm). The maximum width of a swinging door leaf shall be 48 inches (1219 mm) nominal. The height of doors shall not be less than 80 inches (2032 mm). Exceptions: 1. The minimum and maximum width shall not apply to door openings that are not part of the required means of egress in occupancies in Groups R-2 and R Door openings to storage closets less than 10 square feet (0.93 m 2 ) in area shall not be limited by the minimum width. 3. Width of door leafs in revolving doors that comply with Section shall not be limited. 4. Door openings within a dwelling unit shall not be less than 78 inches (1981 mm) in height. 5. Exterior door openings in dwelling units, other than the required exit door, shall not be less than 76 inches (1930 mm) in height. 6. Exit access doors serving a room not larger than 70 square feet (6.5 m 2 ) shall be not less than 24 inches (610 mm) in door width. Reason: Doors in hospitals, nursing homes, and similar occupancies have historically required doors to be a minimum of 32-inches in clear width due to the nature of the occupants within the buildings. The BOCA Basic Building Code in 1975 and the Uniform Building Code prior to 1979 both started requiring doors providing a clear width of 32-inches. The Americans with Disabilities Act Accessible Guidelines (ADAAG) of 1994 and the 2010 ADA Standards for Accessible Design, along with the Unified Federal Accessibility Standards (UFAS) also require a minimum of 32-inches clear because of the width necessary to maneuver a wheelchair through a door opening. Adding Ambulatory Care Facilities to the rule does not add any additional restrictions further than the IBC for door sizing. All meeting materials and reports are posted on the AHC website at:
8 1104_7-F313 -Williams.docx
9 805_10-EB314A -Williams.docx EBxx-12/13 IEBC (new) Proponent: John Williams, CBO, Chair, ICC Ad Hoc Committee on Health Care Add new text as follows: IEBC Refuge areas. Where alterations affect the configuration of an area utilized as a refuge areas, the capacity of the refuge area shall not be reduced below that required in Section through IEBC Smoke compartments. In Group I-2 and I-3 occupancies, the required capacity of the refuge areas for smoke compartments in accordance with Section and of the International Building Code shall be maintained. IEBC Ambulatory care. In ambulatory care facilities required to be separated by Section of the International Building Code, the required capacity of the refuge areas for smoke compartments in accordance with Section of the International Building Code shall be maintained. IEBC Horizontal exits. The required capacity of the refuge area for horizontal exits in accordance with Section of the International Building Code shall be maintained. Reason: When a space is being altered the designer needs to check that an alteration does not conflict with the area being used as a refuge area from an adjacent compartment. There is a correlative change proposed for IBC Chapter 34/IEBC Chapter 4. All meeting materials and reports are posted on the AHC website at: Insert standard CTC paragraph
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